Salivary Gland Trauma: A Review of Diagnosis and Treatment.
ABSTRACT Salivary gland trauma is uncommon. Parotid gland and duct injuries are far more common than injuries to submandibular and sublingual glands due to anatomic position. Several methods of treating salivary duct injuries and their complications have been advocated. Optimal treatment outcomes can be achieved with early diagnosis, adequate evaluation, and proper management. This article presents current diagnostic and treatment protocols of salivary gland trauma. The anatomy of the salivary glands is briefly described and clinical cases are also presented to illustrate the treatment options described.
Article: Management of parotid duct injuries[Show abstract] [Hide abstract]
ABSTRACT: Injuries to the buccal region of the face can carry multiple complications due to the complex anatomy that lies within. The facial nerve and the parotid duct can be easily injured by sharp or penetrating trauma to the cheek. The purpose of this paper is to present the full spectrum of current treatment modalities available to manage these injuries. The anatomy of the parotid gland and duct are described, and surgical techniques and therapeutic alternatives for the immediate and delayed treatment of the parotid duct injuries are reviewed. Clinical cases are presented to illustrate the treatment options outlined.Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 03/2005; 99(2):136-41. DOI:10.1016/j.tripleo.2004.05.001 · 1.46 Impact Factor
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ABSTRACT: Because of its relatively small caliber lumen, traumatic injuries of the parotid duct appropriately lend themselves to microsurgical repair. With the evolution of more modern techniques and materials, inert nylon microsutures placed under magnification permit an ideal atraumatic anastomosis of the divided ends of the parotid duct. Such an exact approach may also obviate the need for long-term stenting across the site of repair, which remains a controversial issue.Microsurgery 01/1992; 13(5):243-6. DOI:10.1002/micr.1920130509 · 2.42 Impact Factor
Article: Recurrent parotitis[Show abstract] [Hide abstract]
ABSTRACT: (1) Recurrent parotitis is probably caused by a congenital abnormality of the salivary gland ducts with recurrent attacks of ascending infection, perhaps aided by dehydration. The parotid gland is predominantly affected probably because of its lower rate of secretion compared with the submandibular gland. (2) The condition mainly affects children between the ages of 3 and 6, with males being more commonly affected. The symptoms peak in the first year of school, and usually, but not invariably, begin to subside at puberty. By the age of 22, most patients are completely symptom-free. When the disease starts after puberty, females are predominantly affected. (3) Ultrasound is the appropriate initial investigation, and is usually supplemented by sialography. The sialography may itself cause a resolution of symptoms. (4) Treatment is conservative in the first instance, and an expectant policy is indicated. More aggressive treatment is justified only for those adults with persistent problems. This may be parotid duct ligation, parotidectomy, or tympanic neurectomy, depending upon the preference and experience of the treating physician.Archives of Disease in Childhood 11/1997; 77(4):359-63. DOI:10.1016/S0140-6736(53)90701-6 · 2.90 Impact Factor